Ercolino, Patrick

Ercolino, Patrick is an individual health care provider with primary practice located at 405 N Date St , T Or C NM 87901-2377. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Ercolino, Patrick can be contacted via phone (575) 894-7459.

Contact Information

Primary practice address
405 N Date St T Or C NM 87901-2377
Phone: (575) 894-7459
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X 268273 New Mexico

Profile Details

NPI number 1730634056
LBN Legal business name Ercolino, Patrick
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2016
Last updated Aug 16th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730634056 NPPES
New Mexico Other 268273 STATE OF NEW MEXICO PED

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